Individual
NICOLE RUBY EGHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43335 KALIFORNSKY BEACH RD STE 27, SOLDOTNA, AK 99669-8250
(907) 561-5335
(907) 654-7429
Mailing address
43335 KALIFORNSKY BEACH RD STE 27, SOLDOTNA, AK 99669-8250
(907) 561-5335
(907) 654-7429
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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